MR. Richard Allen Jackson, HS
NPI #1952386690 in Otis Angb, Massachusetts
Provider Information
- NPI Number
- 1952386690
- Entity Type
- Individual
- Name
- MR. Richard Allen Jackson, HS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Technician, Other
- Credential
- HS
- Enumeration Date
- Dec 14, 2005
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- KAEHLER MEMORIAL MEDICAL CLINIC
- Address 2
- US COAST GUARD
- City
- Otis Angb
- State
- Massachusetts
- ZIP Code
- 02542
- Phone
- (508) 968-6713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
| Technician, Other |
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